| Ms Breanna Ashley Spencer, NP-C | |
|
750 N Syringa St Ste 190, Post Falls, ID 83854-5275 | |
| (208) 262-2328 | |
| (208) 619-5057 |
| Full Name | Ms Breanna Ashley Spencer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 750 N Syringa St Ste 190, Post Falls, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932413838 | NPI | - | NPPES |
| 1932413838 | Medicaid | ID | |
| 2071943 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP-994A (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Specialty Hospital | Post falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Idaho Day Surgery Llc | 0840101218 | 73 |
| Entity Name | North Idaho Day Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104824739 PECOS PAC ID: 0840101218 Enrollment ID: O20110401000539 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Breanna Ashley Spencer, NP-C 1593 E Polston Ave, Post Falls, ID 83854-5326 Ph: (208) 262-2300 | Ms Breanna Ashley Spencer, NP-C 750 N Syringa St Ste 190, Post Falls, ID 83854-5275 Ph: (208) 262-2328 |
Catherine M Woodland, CNM, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 E Polston Ave, Post Falls, ID 83854 Phone: 208-618-0787 Fax: 844-807-3782 | |
Michael Eugene Wigle, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 925 E Polston Ave, Post Falls, ID 83854 Phone: 208-618-0787 Fax: 208-618-0796 | |
Sydney Elizabeth Disselkamp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 E Mullan Ave Ste 200b, Post Falls, ID 83854 Phone: 208-262-2213 Fax: 208-262-2214 | |
Meeka J Bond, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 E Mullan Ave Ste 200a, Post Falls, ID 83854 Phone: 208-262-2482 Fax: 208-262-7460 | |
Mr. Gary Arthur Hurst, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1641 E Polston Ave Ste 101, Post Falls, ID 83854 Phone: 208-457-4208 Fax: 208-457-4197 | |
Katiuska A Vestman, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4225 E Poleline Ave Apt 206, Post Falls, ID 83854 Phone: 208-518-8111 | |
Barbara Richardson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 E Polston Ave, Post Falls, ID 83854 Phone: 208-618-0787 |